We explored the case of a 23-month-old boy suffering from severe pancytopenia linked to Imerslund-Gräsbeck syndrome, a rare condition caused by an inability to absorb vitamin B12. Upon diagnosis, the boy received vitamin B12 replacement therapy, which effectively addressed his symptoms and improved his health.
This case highlights the significance of early detection and treatment of IGS to avoid potential neurological damage. It's crucial to recognize this condition, even when neurological symptoms are absent, to provide timely care.
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9.5
Oral B12 significantly improves anemia
Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study.
We focused on how oral vitamin B12 could help those with pernicious anemia, where absorption is usually impaired. Participants diagnosed with vitamin B12 deficiency due to this condition took a daily dose of 1000 μg of oral cyanocobalamin.
Over a year, an impressive 88.5% of them no longer showed deficiency after just one month, with significant improvements in vitamin B12 levels and related biological markers. Importantly, these benefits lasted throughout the study period.
We observed a compelling case involving a 32-year-old pregnant woman who experienced severe anemia during her pregnancy. This specific type of anemia, known as sideroblastic anemia, is quite rare in expectant mothers. The patient had been feeling weak and had heart palpitations for two weeks when she came to the emergency room.
Testing revealed she had an alarming hemoglobin level of just 4.2 g/dl, indicating severe anemia, along with a notably low reticulocyte count. What made this case particularly interesting was her history of recurrent anemia, which occurred exclusively during her pregnancies.
Upon examining her bone marrow, doctors found numerous ring sideroblasts, which confirmed the diagnosis of sideroblastic anemia. Further investigation uncovered extremely low levels of pyridoxine, or vitamin B6, in her system. After administering vitamin B6 replacement therapy, her hemoglobin levels improved significantly without the need for blood transfusions, highlighting the vitamin’s role in managing this type of anemia during pregnancy.
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Most Useful Reviews
7.5
Calmer emotions
18 people found this helpful
B12 is essential for maintaining good iron stores, and its active form is well absorbed. I noticed that low B12 can lead to irritability and aggression, so I supplement with B vitamins, especially B12 and magnesium glycinate, which helps me feel calmer and reduces anxiety. I find that B vitamins are a necessity for me. Although this product includes inactive forms of B6 and folic acid, its effectiveness for hair health is excellent. The tablets taste unpleasant but dissolve quickly.
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9
Wonderful effect
14 people found this helpful
Amazing! I have pernicious anemia and these tablets are wonderful for me. I love that they do not contain cyanocobalamin, which can be awful for those with anemia as it overworks the body and heart to convert to usable B12. People with anemia already face challenges due to low oxygen levels in their blood. After taking B12 injections with cyanocobalamin, I struggled for three days due to a racing heart and shortness of breath! I will definitely buy again!
Read More
10
Effective treatment
4 people found this helpful
This medication saved me from terrible iron deficiency and second-degree anemia. After starting, my iron levels rose significantly, and I feel fantastic. I have gained strength, no longer experience dizziness, and my cravings for chalk and clay have disappeared. I highly recommend it!
We explored the case of a 23-month-old boy suffering from severe pancytopenia linked to Imerslund-Gräsbeck syndrome, a rare condition caused by an inability to absorb vitamin B12. Upon diagnosis, the boy received vitamin B12 replacement therapy, which effectively addressed his symptoms and improved his health.
This case highlights the significance of early detection and treatment of IGS to avoid potential neurological damage. It's crucial to recognize this condition, even when neurological symptoms are absent, to provide timely care.
Read More
9.5
Oral B12 significantly improves anemia
Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study.
We focused on how oral vitamin B12 could help those with pernicious anemia, where absorption is usually impaired. Participants diagnosed with vitamin B12 deficiency due to this condition took a daily dose of 1000 μg of oral cyanocobalamin.
Over a year, an impressive 88.5% of them no longer showed deficiency after just one month, with significant improvements in vitamin B12 levels and related biological markers. Importantly, these benefits lasted throughout the study period.
We observed a compelling case involving a 32-year-old pregnant woman who experienced severe anemia during her pregnancy. This specific type of anemia, known as sideroblastic anemia, is quite rare in expectant mothers. The patient had been feeling weak and had heart palpitations for two weeks when she came to the emergency room.
Testing revealed she had an alarming hemoglobin level of just 4.2 g/dl, indicating severe anemia, along with a notably low reticulocyte count. What made this case particularly interesting was her history of recurrent anemia, which occurred exclusively during her pregnancies.
Upon examining her bone marrow, doctors found numerous ring sideroblasts, which confirmed the diagnosis of sideroblastic anemia. Further investigation uncovered extremely low levels of pyridoxine, or vitamin B6, in her system. After administering vitamin B6 replacement therapy, her hemoglobin levels improved significantly without the need for blood transfusions, highlighting the vitamin’s role in managing this type of anemia during pregnancy.
Read More
9.5
VB6 vital for symptomatic anemia
Vitamin B6 Deficiency Anemia Attributed to Levodopa/Carbidopa Intestinal Gel Therapy for Parkinson's Disease: A Diagnostic Pitfall for Myelodysplastic Syndrome with Ring Sideroblasts.
We observed that Vitamin B6 (VB6) plays a crucial role in preventing certain types of anemia, particularly in individuals undergoing treatment for Parkinson's disease. In this case, a 75-year-old man who was receiving levodopa/carbidopa intestinal gel therapy developed severe VB6 deficiency anemia. This condition is characterized by microcytic, hypochromic, and sideroblastic blood profiles, which can resemble myelodysplastic syndrome.
The effects of the levodopa/carbidopa treatment were significant because the metabolism of levodopa relies heavily on VB6. Furthermore, the medication carbidopa has an adverse effect—it binds to and deactivates VB6, worsening the deficiency. Fortunately, our findings highlight that the symptoms of VB6 deficiency anemia can be effectively resolved with simple oral supplementation of pyridoxal phosphate hydrate.
This case underlines the necessity of recognizing VB6 deficiency anemia as a potential cause of anemia in patients receiving levodopa/carbidopa, distinguishing it from more serious conditions like myelodysplastic syndrome. Awareness of this link can lead to better diagnosis and treatment of anemia in these patients, emphasizing the importance of monitoring Vitamin B6 levels during treatment.
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9.5
Nutrition education reduces anemia
Effect of nutrition education and iron-folic acid supplementation on anemia among pregnant women in Ethiopia: a quasi-experimental study.
We observed the influence of nutrition education and iron-folic acid (IFA) supplementation on the levels of anemia among pregnant women in Butajira, Ethiopia. Through a quasi-experimental design over three months, we provided pregnant women with health education based on the Health Belief Model, alongside IFA supplements over a six-week period.
At the end of the study, we noticed a remarkable improvement. The proportion of anemia in women receiving the intervention dropped significantly from 27.8% to just 7.2%. Additionally, the knowledge about IFA supplementation improved notably in the intervention group compared to those who did not receive the same level of education, showing a clear connection between education, adherence to supplementation, and overall hemoglobin levels.
We found that participants who engaged in the educational interventions were more likely to adhere to their IFA supplement regimen—2.26 times more so than those who did not participate. This highlights the vital role that combining community-based education and supplementation can play in tackling anemia during pregnancy and improving maternal health outcomes effectively.
B12 is essential for maintaining good iron stores, and its active form is well absorbed. I noticed that low B12 can lead to irritability and aggression, so I supplement with B vitamins, especially B12 and magnesium glycinate, which helps me feel calmer and reduces anxiety. I find that B vitamins are a necessity for me. Although this product includes inactive forms of B6 and folic acid, its effectiveness for hair health is excellent. The tablets taste unpleasant but dissolve quickly.
Read More
9
Wonderful effect
14 people found this helpful
Amazing! I have pernicious anemia and these tablets are wonderful for me. I love that they do not contain cyanocobalamin, which can be awful for those with anemia as it overworks the body and heart to convert to usable B12. People with anemia already face challenges due to low oxygen levels in their blood. After taking B12 injections with cyanocobalamin, I struggled for three days due to a racing heart and shortness of breath! I will definitely buy again!
Read More
10
Effective treatment
4 people found this helpful
This medication saved me from terrible iron deficiency and second-degree anemia. After starting, my iron levels rose significantly, and I feel fantastic. I have gained strength, no longer experience dizziness, and my cravings for chalk and clay have disappeared. I highly recommend it!
Read More
9
For vegetarians
3 people found this helpful
I highly recommend B12 for vegetarians, as it’s vital for blood cell formation and preventing anemia. The package contains 90 tablets, and it's important to dissolve one in your mouth before swallowing. I find the taste quite pleasant.
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9
Better hair and skin
1 people found this helpful
We used it as part of a treatment for anemia, which positively affected my hair and skin health, and it improved my sleep. I definitely recommend this!
Anemia is a medical condition characterized by a deficiency of red blood cells or hemoglobin in the blood, which can result in reduced oxygen flow to the body's organs. The most common type of anemia is iron-deficiency anemia, which occurs when the body does not have enough iron to produce adequate hemoglobin. Other types can arise from chronic diseases, genetic conditions, or a lack of certain vitamins such as B12 or folate. Symptoms often include fatigue, weakness, pale skin, and shortness of breath, particularly during physical activity.
Diagnosing anemia typically involves blood tests to measure levels of red blood cells, hemoglobin concentration, and other related factors. Treatment varies depending on the underlying cause but may include dietary changes, supplements, or medications. In some cases, more serious interventions may be necessary, such as blood transfusions or treatments for associated conditions. If you suspect you have anemia, it's essential to consult a healthcare professional for appropriate evaluation and management.
Vitamin B12, also known as cobalamin, is a water-soluble vitamin that plays a crucial role in several vital functions in the human body. It is essential for red blood cell formation, neurological function, and DNA synthesis. Naturally occurring in animal products, the vitamin can be found in high concentrations in meat, fish, eggs, and dairy, making it particularly important for those following a vegetarian or vegan diet, as plant-based sources of B12 are limited and often require supplementation.
A deficiency in vitamin B12 can lead to serious health issues, including anemia, fatigue, memory problems, and nerve damage. Due to its significance, it's crucial for individuals, particularly those at risk of deficiency, to ensure adequate intake through diet or supplementation. For most adults, the recommended daily allowance (RDA) is around 2.4 micrograms, though pregnant or breastfeeding women may require higher amounts. If you're considering B12 supplements, it's advisable to consult with a healthcare provider to determine the best option for your specific needs and health status.
B12 plays a crucial role in the formation of red blood cells, and a deficiency can lead to a specific type of anemia called pernicious anemia. In this condition, the body lacks sufficient vitamin B12, which is essential for producing healthy red blood cells, resulting in a decreased ability to transport oxygen throughout the body. Symptoms of this type of anemia can include fatigue, weakness, and even neurological issues if left untreated.
Supplementing with B12 can alleviate these symptoms and correct the deficiency, making it an effective part of the treatment plan for those diagnosed with pernicious anemia. However, it's essential to consult with a healthcare professional before starting supplementation, as the specific needs can vary significantly between individuals. They may recommend dietary adjustments or injections depending on the severity of the deficiency and the underlying causes. In sum, while B12 can certainly help with certain types of anemia, addressing the root cause with professional guidance is key for effective treatment.
Based on user reviews, the time it typically takes to see results from taking B12 supplements for anemia can vary, but many users report experiencing noticeable improvements within days to a few weeks. For instance, one user mentioned that their symptoms from anemia, such as dizziness, diminished within just a couple of days after starting B12 (review-id='37695119-5d2f-4f0c-9b42-1d23d95f3651'). Another user reported that their iron levels rose significantly after starting the supplement, which contributed to them feeling fantastic and gaining strength, implying a relatively quick turnaround (review-id='43fc7680-2035-4eea-ba2b-6e28493d6640').
Additionally, users commonly highlight the importance of pairing B12 with iron for optimal results, which can lead to improvements in energy levels and overall well-being (review-id='459039d2-a13f-4e67-94f2-02ba9b56dd73'). Overall, while individual experiences may vary, many users express a positive outlook on the efficacy of B12 supplements in alleviating anemia symptoms in a short time frame.
Scientific research supports the use of Vitamin B12 as a supplement for individuals suffering from anemia, particularly in cases related to vitamin B12 deficiency and pernicious anemia. Studies have documented significant improvements in anemia symptoms after administering vitamin B12 treatment. For instance, a case study involving a 51-year-old man diagnosed with pernicious anemia showed marked improvement after receiving parenteral methylcobalamin therapy [3]. This underscores the importance of recognizing vitamin B12 deficiency as a potential cause of anemia, leading to effective treatment that can significantly restore health.
Moreover, further investigations have shown that vitamin B12 supplementation can yield positive results in children suffering from anemia related to B12 deficiency. A systematic review focusing on the effectiveness of parenteral versus oral vitamin B12 found that injection methods yielded better outcomes in hemoglobin improvement compared to oral administration [33]. This suggests that for certain populations, particularly those unable to properly absorb Vitamin B12, parenteral administration may be the preferred choice. Thus, the evidence strongly supports the use of vitamin B12 supplements in managing anemia, particularly for individuals with diagnosed deficiencies.
Based on user reviews, many individuals have reported significant improvements in their symptoms related to anemia after starting B12 supplementation. For instance, users have noted a dramatic turnaround in their overall health, with one user experiencing a rise in iron levels and increased energy, stating that they felt "fantastic" shortly after beginning the treatment (review-id='43fc7680-2035-4eea-ba2b-6e28493d6640'). Others mentioned that symptoms such as dizziness and fatigue diminished within just days of usage, which highlights the potential for rapid benefits (review-id='37695119-5d2f-4f0c-9b42-1d23d95f3651').
Furthermore, several reviews emphasized the advantages of B12 for overall well-being, with users reporting improvements in hair and skin health, as well as enhanced sleep quality (review-id='73ec15a9-6ab0-4e1d-8425-e12eb65455df'). For vegetarians, in particular, the importance of B12 is underscored, as many noted that it played a crucial role in their vitality and helped alleviate symptoms related to anemia (review-id='b821cc93-3ed1-4548-a818-26c93245ac59'). While individual results can vary, the anecdotal experiences seem to reflect a positive consensus among users regarding the effectiveness of B12 supplements in managing anemia symptoms and improving overall health.
Users have reported positive experiences when combining this B12 supplement with other products for handling anemia. Many individuals noted that taking B12 alongside their iron supplements significantly boosted their energy levels and overall vitality. For example, one user mentioned that after integrating this product with iron supplements, they quickly felt more energized and saw an improvement in their condition (review-id='459039d2-a13f-4e67-94f2-02ba9b56dd73'). Others echoed similar sentiments, stating that pairing B12 with iron led to much-improved hemoglobin levels (review-id='6c7af622-4fad-49cb-8764-e60ebc22d3b9').
Furthermore, reviews indicate that the combination of B vitamins, including B12, alongside necessary minerals like folic acid and magnesium, can provide a comprehensive approach to alleviating anemia symptoms. One user remarked on the effectiveness of taking B12, folic acid, and B6 together to address anemia swiftly (review-id='380602d6-6ef6-424c-ab24-31bab0e11a0a'). This holistic approach seems to resonate with many, especially vegetarians and vegans, who often struggle with necessary nutrient intake essential for preventing anemia (review-id='36494222-49fc-4c76-9a3e-292bb70ad4f6'). Overall, user experiences suggest that a well-rounded supplementation routine can enhance health outcomes related to anemia.
The optimal dose of vitamin B12 for treating anemia varies based on the specific type and severity of the deficiency. Research indicates that for many individuals diagnosed with pernicious anemia, an initial treatment option involves parenteral (injection) administration of methylcobalamin or hydroxocobalamin at doses between 1000 to 2000 μg per week for a few weeks until levels stabilize ([3]; [36]). Once improved, maintenance doses can often be reduced to 1000 μg monthly to prevent relapses ([24]).
For oral supplementation, studies have shown that daily doses of around 1000 μg of oral cyanocobalamin can lead to significant improvements in symptoms and blood levels for those with deficiency [10]. In cases where absorption may be compromised, alternatives like Sucrosomial vitamin B12 formulations are emerging as effective choices, offering higher bioavailability and better outcomes ([39]). Always consult with a healthcare provider for personalized treatment tailored to specific health needs.
8
Pernicious anemia diagnosis and treatment
Rural health challenges in Western Uganda: pernicious anemia masquerading as recurrent lower limb weakness-a case report.
We explored a case involving a 51-year-old Ugandan man who experienced recurring lower limb weakness and was ultimately diagnosed with pernicious anemia. His condition stemmed from vitamin B12 deficiency, confirmed by blood tests showing macrocytic anemia and low cobalamin levels.
With treatment using methylcobalamin injections, he showed significant improvement. This case emphasizes the need for heightened awareness of vitamin B12 deficiency in diagnosing anemia, especially in areas with limited health resources.
7
Parenteral B12 may be better
Comparison of Efficacy and Safety of Parenteral vs Oral Route of Vitamin B12 Supplementation for the Treatment of Vitamin B12 Deficiency Anemia in Children: A Systematic Review.
We sought to understand how effective vitamin B12 is in treating anemia in children. Our focus was on comparing two different methods of supplementation: parenteral (injections) and oral (pills). While previous studies in adults suggested both methods might have similar benefits, we found limited data for children, prompting our thorough investigation.
Our literature search pulled from multiple reputable databases for randomized controlled trials that specifically looked at vitamin B12 treatments in children with deficiency anemia. Of the thousands of studies reviewed, only one qualified for our analysis. In this study, children received an initial injection of vitamin B12 before being assigned to either the parenteral or oral treatment group.
We observed notable differences in the outcomes after three months. The children who received the parenteral treatment showed significantly higher vitamin B12 levels and better improvements in hemoglobin, indicating that this method may be more effective. However, we should note that the quality of the study was deemed high risk for bias, and there was no safety data reported, making it challenging to draw strong conclusions.
Overall, while the findings hint at a greater effectiveness of parenteral supplementation, the lack of robust evidence calls for caution in interpreting these results. Further high-quality research is necessary before definitive recommendations can be made.
9.5
Vitamin B12 aids anemia recovery
Co-existence of autoimmune polyglandular syndrome type 3b and undifferentiated connective tissue disease with subacute combined degeneration of spinal cord in children: a case report and literature review.
We investigated how vitamin B12 treatment plays a role in addressing anemia in a young adolescent with complex health issues, including severe anemia, joint problems, and neurological symptoms. This individual presented with a deficiency in vitamin B12, alongside other autoimmune conditions, leading to a diagnosis of subacute combined degeneration of the spinal cord.
The patient's treatment regimen included high-dose intravenous methylprednisolone, immunoglobulin therapy, oral naproxen, and vitamin B12 supplementation, among others. We observed that the introduction of vitamin B12 into her treatment plan contributed to combating her anemia effectively. The combination of therapies, especially with vitamin B12, significantly improved her overall health and restored her quality of life.
Our findings highlight the importance of early diagnosis and prompt treatment in patients with complex autoimmune issues. Specifically, vitamin B12 emerges as a critical component in managing anemia related to such conditions. While the study is anecdotal, it reinforces the idea that vitamin B12 can be beneficial in improving anemia outcomes in similarly affected patients.
8
Megaloblastic anemia and folate role
Study of clinical manifestations and etiologies of megaloblastic anemia in children.
We explored the fascinating case of megaloblastic anemia (MA) in children, a rare but significant health issue often tied to deficiencies in folic acid and vitamin B12. Our research was conducted over 42 years at the Hedi Chaker University Hospital, where we carefully examined cases of MA diagnosed through myelograms revealing megaloblastosis in children under 16.
Throughout our study, we observed various attributes of this condition, highlighting how folic acid plays a crucial role. The clinical presentations often included severe anemia, notably with a median hemoglobin level of just 5.6 g/dL. Some children also experienced neurological issues and developmental delays, indicating the multifaceted impacts of these vitamin deficiencies.
While we did not find a specific isolated effect of folate on anemia due to overlapping treatment methods, our findings reinforced the need for comprehensive dietary management. Overall, several patients showed improvement with treatment, though a few experienced lasting neurological consequences. This underscores the importance of timely diagnosis and intervention to mitigate long-term effects.
Ultimately, we learned that while folate is essential in the context of anemia, its direct, isolated effect remains challenging to determine. This study serves as a reminder of the complex interplay between nutrition and health in childhood.
9.5
Oral B12 significantly improves anemia
Oral vitamin B12 supplementation in pernicious anemia: a prospective cohort study.
We focused on how oral vitamin B12 could help those with pernicious anemia, where absorption is usually impaired. Participants diagnosed with vitamin B12 deficiency due to this condition took a daily dose of 1000 μg of oral cyanocobalamin.
Over a year, an impressive 88.5% of them no longer showed deficiency after just one month, with significant improvements in vitamin B12 levels and related biological markers. Importantly, these benefits lasted throughout the study period.
9
Effective B12 treatment for anemia
Comparative bioavailability study of supplemental oral Sucrosomial vs. oral conventional vitamin B12 in enhancing circulatory B12 levels in healthy deficient adults: a multicentre, double-blind randomized clinical trial.
We conducted a study to explore how effective different vitamin B12 supplements are at increasing levels of this crucial vitamin in people with a deficiency. This clinical trial involved healthy adults who were found to have low B12 levels.
Our research spanned across three centers in Pakistan, where participants received either a new formulation of Sucrosomial vitamin B12 or conventional B12 supplements. They took a daily dose for seven days, and we measured their serum B12 levels at various points before and after the treatment.
What we found was quite significant: the Sucrosomial vitamin B12 was notably better at elevating and maintaining higher B12 levels in the bloodstream compared to traditional options. This is important because low vitamin B12 can lead to serious health issues, like megaloblastic anemia and neurological problems.
Overall, this innovative supplement could offer a valuable solution for individuals with B12 deficiency, especially those who may have absorption issues. Our findings support the potential of Sucrosomial vitamin B12 in enhancing health through improved nutrient bioavailability.
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Singh G, Ranjitha R, Baskaran P, Goel AD, Gupta MK, et al. Family-centered Health Education Intervention for Improving Iron-folic Acid Adherence and Anemia Reduction among Antenatal Mothers in Rural Jodhpur: A Quasi-experimental Study. Indian J Public Health. 2024;68:495. doi:10.4103/ijph.ijph_844_23
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